2005, 05-11 Permit: 05001541 Plumbing Reversal, ROWSpokane
Valley
BUILDING DIVISION
11707 E. Sprague Avenue, Suite 106
Spokane Valley, WA 99206
1
Site Information
Project Information
Site Address: 215 N BLAKE RD
Parcel Number: 45154.1504
Subdivision:
Block: Lot:
Zoning: AGS
Owner: HUNSBERGER JR, KENNETH P
Address: 215 N BLAKE RD
SPOKANE VALLEY, WA 99216
Building Inspector: BARRY HUSFLOEN
Water Dist:
Project Number: 05001541 Inv: 1 Issue Date: 05/11/2005
Permit Use: PLUMB REVERSAL W/RD OBSTRUCT FOR SEWER
CONNECT
Applicant: NORM'S Excavating
P.O. BOX 574
VERADALE, WA 99037
Contact: NORM'S Excavating
P.O. BOX 574
VERADALE, WA 99037
Phone: (509) 928-0580
Phone: (509) 928-0580
Setbacks - Front: Left: Right: Rear:
Group Name:
Project Name: ROW
Permits
Plumbing Perini! Contractor: BELKNAP PLUMBING
License p: BELKNP*071D6
WATER PIPING - D W V
FOR PLUMBING INSPECTIONS CALL (509) 688-0054.
1 $6.00 PROCESSING FEE $35.00
Total Permit Fcc: $41.00
Right of Way
Contractor: NORM'S EXCAVATING INC
License #: NORMSEI972BM
CONST IN ROW -SEWER 1
FOR RIGHT OF WAY INSPECTIONS CALL
(509) 869-5373 ENGINEERING
$16.00 ROW INSPECTION 1 $25.00
Total Permit Fee: $41.00
Payment Summary
Total Fees AmountPaid AmountOwinp
$82.00 $82.00 $0.00
Tran Date Receipt # Payment Amt
05/11/2005
Processed By: DOMPIER, DAWN
Printed By: MIKE TURBAK Page 1 of 1
1286 $82 00
PERMIT
Apr 25 05 11:28a NORMS EXCAVATING
*lane
��
, Ualley
5098920432
Call 24 hours before inspection required
Phone7509.688-0195 Fax 509.688-0037
DEPARTMENT OF PUBLIC WORKS
Q5
p.12
Anticipated start date 5(16!05 Permit #
ROW CONSTRUCTION PERMIT
Location of property 215 N. Blake
Applicant Name Soderquist
(Address/Parcel #, if available)
Account# 000122
Address Same Fax 892-0482
Contractor's Name Norm's Excavating. Inc.
Address PO Box 574 Veradale, WA 99037 Phone 5091928-0580
Contractor's Reg# NORMSEI972BM Expires 01/14/07
PROJECT DESCRIPTION (Provide site sketch or plan as necessary for clarity)
Sewer Connection Driveway
x
Curb & Gutter
71 Cable/Conduit/Pole
ri Other
Pavement Cut
❑ Gas Installation/Repair
n Sidewalk Repair/Construction
Dimensions
Bond/insurance certification must be on file with the City. Bond # 103957298
SPECIAL CONDITIONS:
Permittee Signature Approved
Date
I hereby authorize the City of Spokane Valley to charge the fee for this permit to my credit card.
Card # Expiration Date 09130/05
Name of Holder Sheila Gibbons Signature
Fees Paid$ 16.00 $25.00
Date
[nit
(Application) (Inspection)
In addition to the permit application fee of $16.00 (utility) or $25.00 (construction), inspection on
each permit will be billed to the permittee at a rate of $50.00 per hour with a $25.00 (12 hour)
minimum. Permittee signature constitutes an agreement to these terns and provisions.
Work completed satisfactorily (Signed)
Date
Permit not valid until One -Call Notification Ticket # entered here
PERMIT MUST BE KEPT ON SITE
RPR 25 2005 11:38
5098920432 PRGE.12